NPI | 1477729549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 17795) |
Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CA 2813) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2008-05-07 |